Provider First Line Business Practice Location Address:
2440 SONOMA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-3027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-246-7626
Provider Business Practice Location Address Fax Number:
530-246-0901
Provider Enumeration Date:
09/25/2006